| NPI | 1184244402 |
|---|---|
| Former Name | BRANDI SHAE ROLLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-140731) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-140731) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2022-08-12 |